Clinical Services

The vendor is required to provide onsite clinic services for employees, spouses, and dependents at their existing shared clinic facility.
- Services description: includes any physicians, nurse practitioners, physician's assistants, registered nurses, licensed practical nurses, clinic medical assistants, certified health coaches, behaviorists, occupational therapists, physical therapists, registered dieticians, etc.
- Current services, eligibility, and engagement
entity 1:
• 3,745 eligible members (2,228 employees, 622 spouses, 857 dependents, 40 retirees)
• 45% engagement in clinic services over the most recent 18 months
entity 2:
• 1,500 eligible members (759 employees, 197 spouses, 385 dependents, 159 retirees)
• 37% engagement in clinic services over the most recent 18 months
entity 3:
• Approximately 650 eligible employees (spouses, dependents, and retirees eligible as well
- Onsite clinical staffing
• Providers to support contracted healthcare services
• Ancillary staff as appropriate for provider and clinic operations support
• Please describe your clinic model, including personnel, qualifications, employment status and recommended hours to support occupational health, acute/episodic care, primary care, and physical therapy services.
• Provide a detailed description of methods used to recruit and retain qualified providers and ancillary staff.
- Onsite clinic setup and maintenance
• Provide and maintain education and decoration for center
• Provide and maintain medical furniture
• Provide and maintain all office and medical supplies, including medical waste management
• Provide and maintain it equipment
• Provide a summary of specifications of the requirements for the clinic space, including recommended set-up to support occupational health services, primary & urgent care, and physical therapy
- Acute and episodic care
• Provide immediate outpatient medical services of acute and chronic illness and injury which are not life-threatening emergencies
• Support walk-in appointments
• Lab draw and review
- Primary care
• Provide routine annual exams, screenings, and immunizations
• Act as first and principal point of continuing care for patients
• Promote development of long-term personal relationships between patient and provider
• Coordinate other specialist care, as appropriate
• Provide education and support to make healthcare decisions
• Lab draw & review
• Provide a comprehensive list of services available under primary care
- Pediatric care
• Episodic care for minor acute illnesses
• Well childcare including school physicals, sports physicals, annual physicals, etc.
• Provide a comprehensive list of services available under pediatric care.
- Case management & care coordination
• Review outside medical records to support care coordination and provide higher quality outcomes
• Make referrals to tier 2 providers, as appropriate
• Coordinate low-cost imaging, as appropriate
• Coordinate other support services to optimize healthcare and outcomes
- Medication dispensary
• Onsite dispensing of pre-packaged pharmaceuticals to treat common illnesses
• Dispensary services should be provided in accordance with relevant standards, guidelines, and laws
• Provide a comprehensive list of pharmaceuticals available at an onsite clinic.
- Occupational health services
• Treat work-related injuries
• Conduct pre-employment physicals and drug tests
• Conduct role-specific annual physicals including pulmonary function testing, osha audiometric testing and EKG, color vision testing, visual screenings, respiratory fit testing, labs, and immunizations
• Dot physicals per the department of transportation regulations
• Fitting of respiratory masks
• Additional testing as required
- Chronic condition management
• Education and coaching around improving health and quality of life, appropriate preventive services, and evidence-based quality measures
• Ongoing oversight and supervision, and biometric marker monitoring
• Work in collaboration with specialty care, as appropriate
- Wellness and health promotion
• Administer comprehensive health risk assessment
• 1:1 coaching with onsite care provider to review assessment results, health history and risk appraisal, set goals and recommend strategies to achieve goals - Telehealth
• Virtual acute and primary care encounters through real-time connection (video, phone)
• Order labs & review
- Physical therapy
• Treatment of disease, injury, or deformity by physical methods including massage, heat treatment and exercise
- Data and reporting
• Monthly activity and trend reporting, broken out by client, related to clinic activity, visit volume participation, interventions, clinical outcomes, high risk patients engaged, change in risk, encounters by CPT code, diagnoses by icd-9 code, evidence-based guidelines for gaps in care closure, financial summary/savings/cost avoidance, etc.
• Annual reporting, broken out by client, including population stratification identifying percent of the population screened, size and nature of high-risk population and size and nature of population with chronic conditions identified through data mining and/or screening, review of health center operations including volume and patient engagement, and examination of outcomes including overall improvement, patient satisfaction, savings from health center operations and return on investment analysis, results of at-risk pay-for-performance metrics, and plan for continuous quality improvement
• Ingests claims data from clients’ carriers for outreach to at-risk patients
• Sends $0 claims to clients’ carriers for all diagnoses and procedures for the purposes of holistic utilization and risk reporting
• Tracks HDHP plan member’s deductible in conjunction with clients’ carriers
- Communications
• Communicate onsite clinic services to patient population utilizing various outreach methods including, but not limited to flyers, email, mailers, texts, etc.
• Conduct surveys relating to services and patient satisfaction.
- Contract Period/Term: 3 years
- Pre-Solicitation Meeting (Non-Mandatory) Date: March 18, 2025
- Questions/Inquires Deadline: March 24, 2025